Melanie Padgett
Jacksonville
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
20
20
years of professional experience
Work History
Claims Analyst Specialist Supervisor
Onslow Memorial Hospital
Jacksonville
12.2011 - Current
- Knowledge and experience in billing UB04 and 1500 claims in a hospital and clinical setting.
- Experienced in following up with all insurance payers.
- Navigating insurance portals for eligibility, benefits, claim payments, and appeals.
- Reviewing account for credits.
- Posting insurance payments using an 835 file as well as patient payments.
- Experience with using the billing clearing house, SSI Inc. as well as using the hospital system Meditech.
- Review resumes and interview potential new teammates.
- Troubleshoot, day-to-day tasks and issues.
Chiropractic Assistant and Billing
Schilsky Chiropractic Center
Jacksonville
03.2008 - 12.2011
- Supported administrative staff by processing payments.
- Build 1500 claim forms and posted insurance and patient payment payments.
- Performed patient intake procedures, including health history documentation.
Waitress
Logan’s Roadhouse
Jacksonville
11.2004 - 03.2008
- Took orders and waited on customers, providing excellent customer service.
Education
High School Diploma -
Southwest High School
Jacksonville, NC05-2004
Skills
- ICD 10
- Knowledge of CPT’s and HCPCS
- 1500 and UB04 billing
- Hospital and physician billing
- A very good understanding of insurance co-pays, deductibles, and coinsurance
- Excel
- Outlook
- Paycom
- Rounding on staff members
- Completing yearly evaluations
- Reviewing resumes and interviewing
- Successfully implemented a hybrid work- from-home schedule for my department
Timeline
Claims Analyst Specialist Supervisor
Onslow Memorial Hospital
12.2011 - Current
Chiropractic Assistant and Billing
Schilsky Chiropractic Center
03.2008 - 12.2011
Waitress
Logan’s Roadhouse
11.2004 - 03.2008
High School Diploma -
Southwest High School